Substituted isoquinolines as ultra short acting neuromuscular blockers

ABSTRACT

Ultra short acting neuromuscular blocking agents of Formula (I) which are useful as skeletal muscle relaxants during emergency intubation procedures, routine surgery and post-operative settings are disclosed, wherein q and t are independently from 0 to 4; X 1  and X 2  are independently halogen; h a  and h b  are independenity from 0 to 2; Z 1  and Z 2  are indepentdently hydrogen, C 1-6  alkyl, C 2-6  alkenyl or C 2-6  alkynyl with the proviso that Z 1  and Z 2  are not both hydrogen; Y 1 , Y 2 , and Y 3  and Y 4  are independently hydrogen, halogen or C 1-3  alkoxy; m and p are independently 1 to 6; n and r are independently 0 to 4; with the proviso the if h a  and h b  are both 0, then r is 0 and n is 0 to 2; R 1  to R 14  are independently hydrogen, halogen, C 1-3  alkoxy, or R 2  and R 3  together with the carbon atoms to which they are bonded, R 5  and R 6  together with the carbon atoms to which they are bonded, R 9  and R 10  together with the carbon atoms to which they are bonded, R 12  and R 13  together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in five- or six-membered ring; W 1  and W 2  are carbon; and A is a pharmaceutically acceptable anion.

This application is filed pursuant to 35 U.S.C. §371 as a United States National Phase Application of International Application No. PCT/EP98/01652 filed Mar. 23, 1998, which claims priority from both GB 9706117.0 filed Mar. 25, 1997 and GB 9724987.4 filed Nov. 27 1997.

The present invention relates to novel compounds, methods for the preparation of such compounds, pharmaceutical compositions containing them and their use as neuromuscular blocking agents of ultra-short duration.

In anesthesia, neuromuscular blocking agents are used to provide skeletal muscle relaxation during surgery and during intubation of the trachea. Neuromuscular blockers are generally classified by both the mechanism of action (depolarizing or non-depolarizing) and the duration of action (ultrashort, short, intermediate, and long). See. Bedford, R., “From the FDA”. Anesthesiology, 82(1), 33a, 1995. Non-depolarizing neuromuscular blocking agents include long-duration agents such as d-tubocurarine. pancuronium, gallamine, diallyltoxiferine and toxiferine, intermediate-duration agents such as atracurium and vecuronium, and short-duration agents such as mivacurium. See e.g., U.S. Pat. No. 4,179,507, U.S. Pat. No. 4,701,460, U.S. Pat. No. 4,761,418 and U.S. Pat. No. 5,945,510. Conventional non-depolarizing agents typically exhibit a 20 to 180 minute duration of action when used as skeletal muscle relaxants. Presently there are no ultrashort duration, non-depolarizing neuromuscular blocking agents in clinical use.

Depolarizing agents include succinylcholine and decamethonium. Due to their depolarizing mechanism of action, these agents can have severe side effects such as cardiac arrest and death, hyperkalemia, malignant hyperthermia, severe muscle pain, cardiac arrhythmias, increased intraocular pressure and increased intragastric tension. Conventional depolarizing agents exhibit shorter durations of action, e.g., 10 to 15 minutes in humans. Succinylcholine has a rapid onset and ultrashort duration of action and is the only ultra-short acting neuromuscular blocker in clinical use. Despite its undesirable side effect profile, no other ultrashort acting agent is available and thus it is currently the preferred agent for emergency use. The ultra-short duration of action is extremely important in emergency situations. Use of longer duration agents could lead to serious brain damage and death.

Non-depolarizing agents are generally believed to be safer and more clinically desirable than depolarizing agents, and clinicians have long recognized the need for a non-depolarizing neuromuscular blocker that has an ultra-short duration of action. See, Miller, R. D. Anesthesia and Analgesia 61(9), 721, 1982; and Belmont, MIR. Current Opinion in Anaesthesiology, 8, 362, 1995. However, non-depolarizing agents can exhibit side effects not specifically related to their mechanism or duration of action. For example, the long-duration agents pancuronium and gallamine have effects on the autonomic nervous system and may cause an increase in heart rate (tachycardia). Intermediate- and short-duration agents such as atracurium besylate and mivacurium chloride may also exhibit the side effect of histamine release. Histamine release has undesirable effects on blood pressure and heart rate, and some physicians believe that release of large amounts of histamine can cause life-threatening anaphylaxis in some patients.

It has now been discovered that compounds of Formula (I) include potent non-depolarizing neuromuscular blocking agents of ultra-short duration, e.g., about 5 to 15 minutes, that will provide both increased safety over known depolarizing ultrashort acting agents, e.g. succinylcholine, and a reduced capacity to release histamine over other non-depolarizing agents such as atracurium and mivacurium. In addition, they have a rapid onset of action and are reversed by treatment with known reversal agents such as neostigmine, both very important features in emergency situations and procedures. These agents maintain their ultrashort duration of action and rapid spontaneous recovery when administered by either bolus or continuous infusion and are without the cumulative effects observed with other neuromuscular blockers (pancuronium. vecuronium). Thus, compounds of the present invention should provide a significant advantage in the emergency, routine surgical, and post-operative settings.

Accordingly, the present invention provides compounds of Formula (I):

wherein q and t are independently from 0 to 4; X¹ and X² are independently halogen; h^(a) and h^(b) are independently from 0 to 2; Z¹ and Z² are independently hydrogen, C₁₋₆ alkyl, C₂₋₆ alkenyl or C₂₋₆ alkynyl with the proviso that Z¹ and Z² are not both hydrogen; Y¹, Y²,Y³ and Y⁴ are independently hydrogen, halogen or C₁₋₃ alkoxy; m and p are independently 1 to 6; n and r are independently 0 to 4; with the proviso that if h^(a) and h^(b) are both 0, then r is 0 and n is 0 to 2; R¹ to R¹⁴ are independently hydrogen, halogen, C₁₋₃ alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, R⁹ and R¹⁰ together with the carbon atoms to which they are bonded and R¹² and R¹³ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; W¹ and W² are carbon; and A is a pharmaceutically acceptable anion.

The compounds of Formula (I) contain two substituted isoquinoiinium moieties connected by an aliphatic linker. The two substituted isoquinolinium moieties can be conveniently distinguished by referring to them as the “left head” and the “right head”, where the left head contains W¹ and the right head contains W². The aliphatic linker is the portion of the compound of Formula (I) denoted by the following Formula (i).

The bond between the carbons attached to (CH₂)_(q) and (CH₂)_(t), indicated as ({overscore (------)}), may be a single or double bond.

The compounds of Formula (I) may exhibit structural asymmetry in several ways. For example, a preferred sub-class of the compounds of Formula (I) is wherein n and r are different. A more preferred sub-class includes those wherein n is 1 and r is 0, i.e., one head contains a benzyl substitution whereas the other head contains a phenyl substitution.

Suitable aliphatic linkers include those where q and t are the same and are 0, 2 or 3. Preferred linkers include succinate, butenedioate, particularly fumarate, octanedioate and decanedioate. Particularly preferred aliphatic linkers comprise succinate or fumarate moieties, i.e., where q and t are each 0.

A preferred sub-class of the compounds of Formula (I) includes those where the aliphatic linker is halogenated, i.e., where h^(a) and h^(b) are independently from 1 to 2. Preferred halogens are chlorine, bromine or fluorine, especially chlorine and fluorine. Particularly preferred halogen substitutions are monochloro, monofluoro and difluoro. The most preferred sub-class includes compounds where the aliphatic linker contains a succinate moiety and where the halogen substitution is difluoro or where the aliphatic linker contains a fumarate moiety and the halogen substitution is monochloro or monofluoro. The position of the halogen substitution may also confer asymmetry to the compounds of Formula (I). For example, it is preferred that the halogen substitution be situated proximal to the left head when n is 1 and r is 0, i.e., the left head contains a benzyl substitution and the right head contains a phenyl substitution.

Suitable compounds of Formula (I) include those wherein Y¹, Y², Y³ and Y⁴ are each independently hydrogen or methoxy. Preferably Y¹ and Y³ are hydrogen and Y² and Y⁴ are methoxy. Further suitable compounds of Formula (I) include those wherein R₁-R₁₄ are each independently hydrogen or C₁₋₃ alkoxy. Preferably R¹, R⁴, R⁷, R^(8,) R¹¹ and R¹⁴ are hydrogen and R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are C₁₋₃ alkoxy. A more preferred sub-class of the compounds of Formula (I) include those where R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen and R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are C₁₋₃ alkoxy and where Y¹ and Y³ are hydrogen and where Y² and Y⁴ are methoxy. It is preferred that when R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, R⁹ and R¹⁰ together with the carbon atoms to which they are bonded, or R¹² and R¹³ together with the carbon atoms to which they are bonded independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring, that the ring is a five-membered ring containing a methylenedioxy moiety.

Particularly suitable compounds of Formula (I) include those wherein q and t are 0; X¹ is halogen; h^(a) is from 1 to 2 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen and R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon; and A is a pharmaceutically acceptable anion.

The compounds of Formula (I) contain four chiral centres. The carbon atoms (denoted as W¹ and W2) and each quaternary nitrogen atom in the isoquinolinium moieties are chiral. Each of the four chiral centres may independently exist in either the R or S configuration. Accordingly, it would be apparent to those skilled in the art that each compound within Formula (I) may exist in sixteen distinct optical isomeric forms. The scope of the present invention extends to cover each and every isomer of the compounds of Formula (I) either individually or in admixture with other isomers, and all mixtures of such isomers. It is preferred that when n is 1 and r is 0, that W¹ is in the R configuration, W² is in the S configuration, the N attached to Z¹ is in the S configuration and the N attached to Z² is in the R configuration.

The compounds of Formula (I) may also contain an alkenic double bond in the aliphatic linker and may, therefore, exist in either the E or Z configuration. A preferred sub-class of the compounds of Formula (I) include those having the Z configuration. For example, a preferred sub-class of the compounds of Formula (I) includes those where the aliphatic linker comprises a butenedioate moiety, which is preferably a fumarate moiety. The term fumarate as used herein refers to a butenedioate moiety wherein the two ester carbonyl groups are oriented trans to one another. A more preferred sub-class of compounds includes those wherein the aliphatic linker is a halofumarate and n is 1 and r is 0.

Further suitable compounds of Formula (I) include those wherein X¹ is Cl or F; h^(a) is from 1 to 2, h^(b) is 0; n is 1 and r is 0; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are C₁₋₃ alkoxy; and Y³ is hydrogen.

A suitable class of compounds of Formula (I) is that wherein the aliphatic linker denoted by Formula (i) is a butanedioate moiety i.e. q and t are 0; X¹ represents chlorine or fluorine; h^(a) is 1 or 2 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon and A is a pharmaceutically acceptable anion.

A preferred class of compounds of Formula (I) is that wherein the aliphatic linker is a butanedioate moiety i.e. q and t are 0; X¹ represents fluorine; h^(a) is 1 or 2 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon and A is a pharmaceutically acceptable anion.

A particularly preferred class of compounds of Formula (I) is that wherein the aliphatic linker is a butanedioate moiety i.e. q and t are 0; X¹ represents fluorine; h^(a) is 2 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹²and R¹³ are methoxy; W¹ and W² are carbon and A is a pharmaceutically acceptable anion.

Compounds of Formula (I) wherein the aliphatic linker is a butanedioate moietn, i.e. q and t are 0; X¹ represents fluorine; h^(a) is 2 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero. R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon; W¹ is in the R configuration; W² is in the S configuration; the N attached to Z¹ is in the S configuration; the N attached to Z² is in the R configuration and A is a pharmaceutically acceptable anion are most preferred.

Another suitable class of compounds of Formula (I) is that wherein the aliphatic linker denoted by Formula (i) is a butenedioate moiety i.e. q and t are 0; X¹ represents chlorine or fluorine; h^(a) is 1 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon and A is a pharmaceutically acceptable anion.

A preferred class of compounds of Formula (I) includes those wherein the aliphatic linker is a butenedioate moiety i.e. q and t are 0; X¹ represents chlorine or fluorine, h^(a) is 1 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methox, Y² i methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R^(5,) R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon; A is a pharmaceutically acceptable anion and the butenedioate moiety is a fumarate.

A particularly preferred class of compounds of Formula (I) includes those wherein the aliphatic linker is a butenedioate moiety i.e. q and t are 0, X¹ represents chlorine; h^(a) is 1 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon; A is a pharmaceutically acceptable anion and the butenedioate moiety is a fumarate.

Compounds of Formula (I) wherein the aliphatic linker is a butenedioate moiety i.e. q and t are 0, X¹ represents chlorine; h^(a) is 1 and h^(b) is zero; Z¹ and Z² are methyl; Y¹ is hydrogen or methoxy, Y² is methoxy, Y³ is hydrogen and Y⁴ is methoxy; m and p are 3; n is 1 and r is zero; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵ R^(6,), R⁹, R¹⁰, R¹² and R¹³ are methoxy; W¹ and W² are carbon; W¹ is in the R configuration; W² is in the S configuration; the N attached to Z¹ is in the S configuration; the N attached to Z² is in the R configuration; A is a pharmaceutically acceptable anion and the butenedioate moiety is a fumarate are most preferred.

The most preferred compounds of Formula (I) include:

(Z)-2-Chloro-4-{3-[(1S,2R )-6.7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)--1,2,3,4-tetrahydro-2-isoquinolinio]propyl }-1-{3-{(1R.2S)-6,7-dimethox-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl ]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride,

2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl )methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-butanedioate dichloride,

(Z)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride, and

2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride.

Since the pharmacological activity of the compounds of the invention resides in the cation, the nature of the anion A⁻ is relatively unimportant. However, for therapeutic purposes it is, preferably, pharmaceutically acceptable to the recipient of the compounds. Examples of pharmaceutically acceptable anions include iodide, mesylate, tosylate, bromide, chloride, hydrogen sulphate, sulphate/2, phosphates/3, hydrogen phosphate/2, acetate, besylatc, succinate/2, maleate, naphthalenesulphonate and propionatc. Both pharmacologically acceptable salts and salts which are not thus acceptable may be useful for isolating and/or purifying the compounds of the invention. The unacceptable salts may also be useful in that they may be converted into acceptable salts by techniques well known in the art.

The compounds of Formula (I) are used as neuromuscular blocking agents during surgery, for intubation of the trachea or during electroshock therapy. They may be administered parenterally, e.g., by intramuscular or intravenous injection of a solution. Accordingly, the present invention also provides a method for producing muscle relaxation in a mammal, which comprises administering to the mammal an effective neuromuscular blocking amount of a compound of Formula (I). The dosage for each subject may vary, however, a suitable intravenous amount or dosage of the compounds of Formula (I) to obtain paralysis in mammals would be 0.01 to 5.0 mg/kg of body weight, and most preferably, 0.02 to 0.5 mg/kg of body weight, the above being based on the weight of the di-cation which is the active ingredient. The dosage for intramuscular administration is two to eight times the intravenous dose.

In a further aspect, the present invention provides compounds of Formula (I) for use in therapy, for example to induce neuromuscular blockade in surgery or for intubation of the trachea. The present invention also provides the use of a compound of Formula (I) in the manufacture of a medicament for inducing neuromuscular blockade in a mammal, including in a human.

While it is possible for the compounds of Formula (I) to be administered as the bulk active chemicals, it is preferred to present them in the form of a pharmaceutical formulation for parenteral administration. Accordingly, the present invention provides a pharmaceutical formulation which comprises a compound of Formula (I), as herein defined and a pharmaceutically acceptable carrier.

Where the pharmaceutical formulation is for parenteral administration, the formulation may be an aqueous or non-aqueous solution or mixture of liquids, which may contain bacteriostatic agents, antioxidants, buffers or other pharmaceutically acceptable additives. Alternatively the compounds may be presented as lyophilized solids for reconstitution with water (for injection) or dextrose or saline solutions. Such formulations are normally presented in unit dosage forms such as ampoules or disposable injection devices. They may also be presented in multi-dose forms such as a bottle from which the appropriate dose may be withdrawn. All such formulations should be sterile.

A suitable dose to obtain a neuromuscular block for adult humans (150 lbs. or 70 kg) is 0.5 to 150 mg and more preferably 3.5 to 50 mg. The compounds of this invention may optionally be administered before or after (but not simultaneously with) the depolarizing agents as listed above. Thus a suitable pharmaceutical parenteral preparation for administration to humans will preferably contain 0.1 to 20 mg/ml of the compounds of Formula (I) in solution or multiples thereof for multi-dose vials.

A simple and preferred formulation is a solution of the compound of Formula (I) in water or dextrose solution. This may be prepared by dissolving the compound in pyrogen-free, sterile water or water containing dextrose, with or without a preservative and sterilizing the solution. Alternatively it may be prepared by dissolving the sterile compound in pyrogen-free, sterile water or a sterile dextrose solution under aseptic conditions. Particularly preferred formulations have a pH of about 2.0 to 5.0.

The compounds of Formula (I) may also be administered as an infusion of a dextrose solution or saline solution, e.g., Ringer's solution in drip form.

The compounds may also be administered in other solvents (usually as a mixed solvent with water) such as alcohol, polyethylene glycol and dimethylsulphoxide. They may also be administered intramuscularly (as a drip if required) as a suspension or solution.

General Description of Processes

Unless otherwise indicated A, h^(a), h^(b), m, p, n, r, q, t, R¹, R², R³, R⁴, R⁵, R⁶, R⁷, R⁸, R⁹ R¹⁰ R¹¹, R¹², R¹³, R¹⁴, W¹, W², X¹, X², Y¹, y², Y³, Y⁴, Z¹ and Z² described in the formulae which follow are as defined in Formula (I) above and T is hydroxyl or halide.

Compounds of Formula (I) may be prepared by reacting two equivalents of a compound of Formula (III) (defined herein):

with one equivalent of a compound of Formula (VII) (defined herein):

in an aprotic solvent. The preferred method of coupling compounds of Formula (III) with compounds of Formula (VII) involves mixing the diacid chloride derivative of (VII) (T═Cl) with two equivalents of a compound of Formula (III) in a chlorinated organic solvent at ambient or elevated temperatures.

Compounds of Formula (I) may be prepared by coupling two different compounds of Formula (III) with one equivalent of a compound of Formula (VII). Reactions of this type are preferably carried out by preparing an equimolar solution of two different compounds of Formula (III) in a chlorinated organic solvent followed by addition of one equivalent of a diacid chloride derivative of (VII) (T═Cl). This technique generates a statistical mixture of 3 different compounds of Formula (I) (ignoring stereochemical considerations) and the major component of this mixture is always the compound of Formula (I) containing two different head groups; i.e., a mixed-head compound of Formula (I). One or more of these compounds may, be separated from the mixture by, chromatographic techniques. This may be followed by the introduction of pharmaceutically acceptable counterions (A⁻) by conventional ion exchange techniques. Compounds of Formula (III) wherein n is 0 are novel intermediates for the preparation of compounds of Formula (I) and represent a further aspect of the invention. Compounds of Formula (III) may be prepared by two general processes. A first process involves quaternization of compounds of Formula (V) (defined herein):

with compounds of Formula (VIII) (defined herein):

A(CH₂)_(m)OH  (VIII)

where the substituent A in (VIII) is a suitable leaving group (e.g. A═I, Br, Cl, OSO₂R, OSO₂Ar) and corresponds to the anion, A⁻ (defined herein): and optionally converting the anion A⁻ in the resulting compound of Formula (III) into another anion (A⁻) by conventional ion exchange techniques. Reactions of compounds of Formula (V) with compounds of Formula (VIII) are preferably carried out in polar aprotic solvents at elevated temperatures in the presence of sodium carbonate. Compounds of Formula (III) prepared by this process are generated as mixtures of cis/tran. stereoisomers and separation of cis/trans isomers of (III) typically requires chromatographic techniques.

A second process for the preparation of compounds of Formula (III) is novel and comprises another aspect of the invention. The preparation of compounds of Formula (III) involves alcoholysis of zwitterionic compounds of Formula (IX) (defined herein):

Alcoholysis of a compound of Formula (IX) is preferably carried out in methanol solutions of hydrogen chloride at ambient temperature. Compounds of Formula (IX) are prepared by the quaternization of compounds of Formula (V) with cyclic sulfates of Formula (IV) (defined herein):

Reactions of compounds of Formula (V) with compounds of Formula (IV) are preferably carried out in polar aprotic solvents at elevated temperatures. Compounds of Formula (IX) prepared by this process are generated as mixtures of cis/trans isomers; however, cis/trans mixtures of compounds of Formula (IX) may be resolved by selective crystallization of the trans isomer of compounds of Formula (IX) from the mixture. Selective crystallization of trans isomers of compounds of Formula (IX) is preferably accomplished with polar aprotic solvents such as acetonitirile or acetone. This process is the preferred method of preparation of compounds of Formula (III), especially trans isomers of compounds of Formula (IIl) where the alkanol side chain ((CH2)_(m)OH) and the phenyl (n=0) or benzyl (n=1) substituent are oriented trans to one another in space. Compounds of Formula (IX) wherein n is 0 or 1 are novel intermediates and represent another aspect of the invention.

Another aspect of the invention comprises a novel process for the preparation of compounds of Formulae (I) and (II). The preparation of compounds of Formula (I) involves coupling a compound of Formula (II) (defined herein):

to a compound of Formula (III). These reactions are preferably carried out by addition of a compound of Formula (III) to the acid chloride derivative of a compound of Formula (II) (T═Cl ) in a chlorinated organic solvent at ambient or elevated temperatures. The acid chloride derivatives of compounds of Formula (II) (T═Cl) may be prepared from the corresponding carboxylic acids of compounds of Formula (II) (T═OH) by methods well known to those skilled in the art.

Compounds of Formula (II) (T═OH) are obtained by ring opening of compounds of Formula (VI) (defined herein):

with compounds of Formula (III). These reactions are preferably carried out by mixing compounds of Formulae (III) and (VI) in chlorinated organic solvents at ambient or elevated temperatures. If necessary, these reactions may be facilitated by the addition of a catalyst such as imidazole. These methods may be followed by the introduction of other pharmaceutically acceptable counterions (A⁻) by conventional ion exchange techniques. Ring opening of monohalogenated cyclic anhydrides of compounds of Formula (VI) (X¹═Br, Cl, F; q=0; h b=0) with compounds of Formula (III) can occur selectively to give compounds of Formula (II) (X¹═Br, Cl, F; T═OH; h^(b)=0; q=0). In these reactions. the hydroxyl group of (III) reacts preferentially at the carbonyl group of compounds of Formula (VI) adjacent to the halogen atom. This process is the preferred method for the preparation of mixed-head compounds of Formula (I) and is even more preferred for the preparation of mixed-head compounds of Formula (I) that contain a halogenated alkanedioate or a halogenated alkenedioate linker. Compounds of Formula (II) wherein n is 0 or 1 are novel intermediates in the preparation of compounds of Formula (I) and represent another aspect of the invention.

Another aspect of the invention comprises a novel process for the conversion of one compound of Formula (II) into another compound of Formula (II). Monohalogenated alkenedioates of Formula (IIb) (X¹═Br, Cl, F; h^(a)=1 and q=0):

may be prepared by a process which involves elimination of hydrogen halide (HX²) from vicinal dihalo alkanedioates of compounds of Formula (IIa) (X═Br, Cl, F; T═H; h^(a) and h^(b) are 1 and q=0):

Compounds of Formula (IIa) are prepared by the reaction of compounds of Formula (III) with compounds of Formula (VI) (X═Br, Cl, F; h^(a) and h^(b) are independently 1; q=0). These reactions are preferably carried out in chlorinated organic solvents at ambient or elevated temperatures. If necessary, these reactions may be facilitated by the addition of a catalyst such as imidazole. These methods may be followed by the introduction of other pharmaceutically acceptable counterions (A⁻) by conventional ion exchange techniques.

The transformation of compounds of Formula (IIa) into compounds of Formula (IIb) is typically performed by treatment of (IIa) with an excess of a tertiary amine, such as triethyl amine, in polar aprotic or chlorinated organic solvents at 0° C. In this elimination process, the hydrogen atom (H) vicinal to the ester carbonyl in (IIa) (a to the ester carbonyl) is abstracted selectively. The resulting compounds of Formula (IIb) may be converted to monohalogenated alkencdioates of Formula (I) by methods described herein.

Another aspect of the invention comprises a novel process for the conversion of one compound of Formula (I) into another compound of Formula (I). Nonhalogenated and monohalogenated alkenedioates of Formula (Ib) (X¹=Br, Cl, F; h^(a) is from 0 to 1 and t=0):

may be prepared by this process. Nonhalogenated alkenedioates of Formula (Ib) (h^(a)=0; t=0) may be prepared by elimination of hydrogen halide (HX¹) from monohalo alkenedioates of Formula (Ia) (X¹═Br, Cl, F; h^(a)=1; h^(b)=0; t=0):

Similarly monohalogenated alkenedioates of Formula (Ib) (X¹═Br; Cl or F; h^(a)=1; t=0) may be prepared by elimination of hydrogen halide (HX¹) from geminal dihalo alkanedioates of Formula (Ia) (X¹═Br; Cl or F; h^(a)=2 t=0). This method involves monohaloalkenedioates and geminal dihaloalkanedioates of Formula (Ia) (X¹═Br, Cl or F; h^(a)=1 or 2; t=0) to provide nonhalogenated alkenedioates of Formula (Ib) (h^(a)=0; t=0) and monohalogenated alkenedioates of Formula (Ib) (X¹═Br, Cl, F; h^(a)=1; t=0), respectively. The hydrogen (H) abstracted in the elimination reactions of this process is typically vicinal to both an ester carbonyl oxygen and the halogen atom(s) in compounds of Formula (Ia). Eliminations of HX¹ from compounds of Formula (Ia) are preferably carried out with potassium carbonate in polar aprotic solvents such as dimethylformamide, at ambient temperature.

Mixed head monohalobutenedioates of Formula (I) (X¹═Br, Cl, F; h^(a)=1; q=0; t=0) exist as 1:1 mixtures of regioisomers when synthesized by said process which comprises reacting two equivalents of a compound of Formula (III) with one equivalent of a compound of Formula (VII). However, mixed head monohalobutenedioates of Formula (I) (X¹═Br, Cl, F; h^(a)=1; q=0; t=0) exist as pure regioisomers when synthesized by said processes comprising conversion of compounds of Formulae (Ia) to (Ib) or conversion of compounds of Formulae (IIa) to (IIb). Thus, the latter two processes are preferred methods for the preparation of mixed head monohalobutenedioates of Formula (I).

Alkenedioate derivatives of Formula (I) and (II) may exist as E and Z geometric isomers; however, monohalogenated butenedioate analogs of Formula (I) preferentially exist as halofumarates such that the two ester carbonyl groups are oriented trans to one another. Compounds of Formula (I) may also exist as mixtures of diastereomers and one or more diastereomers may be separated from the mixture by conventional techniques; for example, chromatographic techniques.

Compounds of Formulae (IV), (V) and (VI), diacid chloride derivatives of (VII) and compounds of Formula (VIII) are commercially available or may be prepared by published processes for the preparation of the same or structurally analogous compounds. Pure enantiomers of (V) are obtained by published asymmetric synthesis methods, known classical resolution techniques, or chiral preparative HPLC.

Experimental

Melting points are uncorrected. All reagent chemicals were used without purification. Analytical high performance liquid chromatography (HPLC) analyses were performed on a 4×250 mm 5m Si60 LiChrosorb column (E. Merck, Darmstadt, Germany) at a flow rate of 1.6 mL/min. The mobil phase consisted of 0-25% methanol (MeOH)/dichloromethane (CH₂Cl₂) mixtures containing 0.25 mL of methanesulfonic acid/L. Medium pressure liquid chromatography (MPLC) separations were performed on twin Porasil 15-20m cartridges (Waters/Millipore, Milford, Mass., USA) eluting with 0-20% MeOH/ CH₂Cl₂ mixtures containing 0.25 mL of methanesulfonic acid/L. Proton nuclear magnetic resonance (¹HNMR) spectra of all products were consistent with the proposed structures. Positive ion flow injection electrospray mass spectra (MS) are reported in the form m/z (doubly charged positive ion, relative intensity). Elemental analyses were performed by Atlantic Microlab, Norcross, Ga.

Chlorofumaryl chloride was prepared by a reported procedure (Akihtar, M.; Botting, P. N.; Cohen; M. A. Tetrahedron 1987, 43, 5899-5908).

3,4-Dihydroisoquinoline derivatives were prepared by Bishler-Napieralski cyclization of the corresponding amides with phosphorous oxychloride (Whaley, K. W.; Govindachari Org. Reactions 1951, 6, 74-150). Racemic 1,2,3,4-tetrahydroisoquinoline derivatives were prepared by reduction of their 3,4-dihydroisoquinoline precursors with sodium borohydride/methanol. N-Methylations of 1,2,3,4-tetrahydroisoquinoline derivatives were carried out with formaline/formic acid (Kaluszyner, A.; Galun A. B. J Org. Chem. 1961, 26, 3536-3537).

The following starting materials were prepared by chiral catalytic hydrogenation of their corresponding 3,4-dihydroisoquinolines by a procedure similar to that described by Noyori et al. (Uematsu, N.; Fujii, A.; Hashiguchi, S.; Ikariya, T.; Noyori, R. J. Am. Chem. Soc. 1996, 118, 4916-4917) followed by N-methylation:

(1R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1S)-6,7-Dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydroisoquinolino (1S)-1-(3,4-Dimethoxyphenyl)-2-methyl-6,7-methylenedioxy-1,2,3,4-tetrahydroisoquinoline,

(1S)-2-Methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl 1)-1,2,3,4-tetrahydroisoquinoline,

(1R)-2-Methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydroisoquinoline.

The following starting materials were obtained from their corresponding racemic mixtures by chiral preparative HPLC performed on a 5×50 cm 20m Chiralcel OD column (Daicel, Tokyo, Japan) with 2-propanol/hexane/ 0.1% triethyl amine mixtures:

(1S)-2-Methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1S)-1-(3,4-Dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydroisoquinoline.

The following starting materials were prepared by asymmetric syntheses following a procedure similar to that described by Kibayashi et al. (Suzuki. H.; Aoyagi, S.; Kibayashi, C. Tetrahedron Lett. 1995, 36, 6709-6712) and N-methylation:

(1R)-2-Methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1R)-1-(2,3-Dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydroisoquinoline,

(1S)-6,7-Dimethoxy-1-(4-methoxyphenyl)-2-methyl-1,2,3,4-tetrahydrosioquinoline.

The following starting materials were obtained by classical resolution of their corresponding 3,4-dihydroisoquinoline derivatives by a procedure similar to that described by Brossi et al. (Brossi, A.; Teitel. S. Helv. Chirn. Acia 1973, 54, 1564-1571) followed by N-methylation:

(1R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline,

(1R)-6,7-Dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydroisoquinoline.

The following starting materials were obtained by classical resolution of their corresponding racemic mixtures by a procedure similar to that described by Swaringen et al. (U.S. Pat. No. 4,761,418 Aug. 2, 1988):

(R)-(−)-5′-Methoxylaudanosine,

(S)-(+)-5′-Methoxylaudanosine,

(1R)-2-Methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydroisoquinoline,

(1R)-6,7-Dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydroisoquinoline.

(1S,2RS)-6,7-Dimethoxy-2-(3-hydroxypropyl)-2-(2-propenyl )-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinolinium chloride [(1S,2R)/(1S,2,S), 1:3.5] was prepared by alkylation of (1S)-6,7-dimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline with methyl acrylate (Rouvier, E.; Giacomoni, J. C.; Cambon, A. Bull. Soc. Chim. Fr. 1971, 5, 1717-1723), reduction of the resulting ester with lithium borohydride (Brown, H. C.; Narasimhan, S.; Choi, Y. M. J. Org. Chemn. 1982, 47, 1604-1606), and quaternization with allyl bromide (Yadav, M. R. Indian J. Chem. Sect. B 1993, 32B, 746-753.

(1S,2RS)-6,7-Dimethoxy-2-ethyl-2-(3-hydroxypropyl)-1-(3,4,5-trimethoxyphenyl )-1,2,3,4-tetrahydroisoquinolinium chloride [(1S,2R)/(1S,2S), 2:1] was prepared by alkylation with ethyl iodide/potassium carbonate/dimethylformamide followed by quaternization with 3-chloropropanol (see Synthetic Example 1, procedure a).

SYNTHETIC EXAMPLE 1 (a) (1S,2R)- and (1S,2S)-6,7-Dimethoxy-2-(3-hydroxypropyl)-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinolinium chloride

To a mixture of (1S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline (56.0 g, 0.15 mol), sodium iodide (45.0 g, 0.30 mol), sodium carbonate (4.0 g, 0.038 mol), and 2-butanone (600 mL) was added 3-chloropropanol (25.0 mL, 28.3 g, 0.30 mol) and the suspension was heated to reflux for 18 hours (h) under nitrogen atmosphere. Solvent was evaporated and the residue was dissolved in H₂O and washed with ethyl acetate (EtOAc). The aqueous phase was stirred with Dowex 1×8-50 (1.0 L), filtered. and saturated with sodium chloride. The aqueous mixture was extracted with chloroform (CHCl₃) and the combined organic layers were dried and concentrated to provide a 3:1 mixture of the (1S,2R)- and (1S,2s)-title products, respectively as a white solid (69.5 g, 99% yield): MS m/z 432 (M⁺, 9).

(b) (1R,2S)- and (1R,2R)-6,7-Dimethoxy-2-(3-hydroxypropyl)-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydroisoquinolinium chloride

(R)-(−)-5′-Methoxylaudanosine (23.5 g, 61.0 mmol) was subjected to procedure a to give a 2.3:1 mixture of the (1R,2S)- and (1R,2R)-title products, respectively as a yellow, hygroscopic solid (31.5 g, 100% yield). The isomers were separated by MPLC (12% MeOH/CH₂Cl₂, 0.25 ml methanesulfonic acid/L). The minor (1R,2R) isomer eluted first. The appropriate fractions were combined and most of the MeOH was removed by coevaporation with CHCl₃. The remaining CHCl₃ solution was washed with 1:1 brine/H₂O, dried and concentrated to provide the (1R,2S)-title product (10.4 g, 35% yield) and the (1R,2R)-title product (3.7 g, 13% yield) as yellow hygroscopic solids:

MS (each isomer) m/z 446 (M⁺, 100).

(c) (Example 1.01) (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[1[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

To a solution of the product mixture from step a (2.4 g, 5.1 mmol) and the (1R,2S)-isomer from step b (2.34 g, 4.9 mmol) in 1,2-dichloroethane (DCE) (30 mL) was added chlorofumaryl chloride (0.83 g, 4.4 mmol) and the solution was stirred at room temperature (rt) for 18 h. The solvent was evaporated and the remaining residue was purified by MPLC (5-20% MeOH/CH₂Cl₂, 0.25 mL methancsulfonic acid/L). The appropriate fractions were combined and most of the MeOH was removed by coevaporation with CHCl₃. The remaining CHCl₃ solution was washed with 1:1 brine/H₂O, dried and concentrated. Lyophilization provided a 1:1 mixture of the title products as a white solid (0.70 g, 15% yield): MS m/z 496 (M²⁺, 100).

The following compounds were prepared by a procedure similar to Synthetic Example 1:

(Example 1.02): (Z)-2-Chloro-bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 489 (M²⁺, 100).

(Example 1.03): (E)-Bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}butenedioate dichloride

MS m/z 472 (M²⁺, 100).

(Example 1.04): Bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 501 (M²⁺, 100).

(Example 1.05): {3-[(1R,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 501 (M²+, 100).

(Example 1.06): Bis{3- [1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 501 (M²⁺,100).

(Example 1.07): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 501 (M²⁺,100).

(Example 1.08): (Z)-2-Chloro-bis{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 489 (M²⁺,100).

(Example 1.09): (Z)-2-Chloro-bis{3-[(1R,2S)-2-methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 519 (M²⁺, 100).

(Example 1.10): (Z)-2-Chloro-bis{3-[(1S,2R)-2-methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 519 (M²⁺, 100).

(Example 1.11): (Z)-2-Chloro-bis{3-[(1S,2R)-1-(2,3-dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 489 (M²⁺, 100).

(Example 1.12): (Z)-2-Chloro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1)

MS m/Z 496 (M²⁺, 100).

(Example 1.13): {3-[(1R,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}octanedioate dichloride

MS m/z 508 (M²⁺, 100).

(Example 1.14): 2,3-Dichloro-bis{3-{(1R,2RS)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate

MS m/z 520 (M²⁺, 100).

(Example 1.15): (Z)-2-Chloro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 503 (M²⁺, 100).

(Example 1.16): {3-{(1R,2S)-6,7-Dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 493 (M²⁺, 100).

(Example 1.17): {3-{(1R,2S)-6,7-Dimethoxy-1-[3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride

MS m/z 493 (M²⁺, 100).

(Example 1.18): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}octanedioate dichloride

MS m/z 508 (M²⁺, 100).

(Example 1.19): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propy}nonanedioate dichloride

MS nz/: 515 (M²⁺, 100).

(Example 1.20): {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}nonanedioate dichloride

MS m/z 515 (M²⁺, 100).

(Example 1.21): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}hexanedioate dichloride

MS m/z 494 (M²⁺, 100).

(Example 1.22): {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}hexanedioate dichloride

MS m/z 494 (M²⁺, 100).

(Example 1.23): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1 R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}heptanedioate dichloride

MS m/z: 501 (M²⁺, 100).

(Example 1.24): {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}heptanedioate dichloride

MS m/z 501 (M²⁺, 100).

(Example 1.25): {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}decanedioate dichloride

MS m/z 522 (M²⁺, 100).

(Example 1.26): {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}{3-{1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}decanedioate dichloride

MS m/z 522 (M²⁺, 100).

(Example 1.27): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-1[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 503 (M²⁺, 100).

(Example 1.28): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5,-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}4-{3-[(1S,2S)-6,7-dimethoxy-2-(2-propenyl)-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1S,2S)-6,7-dimethoxy-2-(2-propenyl)-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1)

MS m/z 509 (M²⁺, 60).

(Example 1.29): (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl)}-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propl}-2-butenedioate dichloride (1:1)

MS m/z 481 (M²⁺, 100).

(Example 1.30): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}-2-butenedioate dichloride (1:1)

MS m/z 481 (M²⁺, 40).

(Example 1.31): (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioatc dichloride and (Z)-2-Chloro-4-{3-1(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 511 (M²⁺, 100).

(Example 1.32): (Z)-2-Chloro-1-{3-1(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 511 (M²⁺, 22).

(Example 1.33): (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5,-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoqluinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

Anal. Calcd for C₅₄H₇₁N₂O₁₄Cl₃.5.5H₂O: C, 55.08; H, 7.02; N, 2.38; Cl, 9.03. Found: C, 54.89; H, 6.83: N, 2.36; Cl, 9.07.

(Example 1.34): (Z)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

Anal. Calcd for C₅₄H₇₁N₂O₁₄Cl₃.5H₂O: C, 55.50; H, 6.99; N, 2.40; Cl, 9.10. Found: C, 55.33; H, 6.98; N, 2.39; Cl, 9.14.

(Example 1.35): (Z)-2-Chloro-1-{3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-(3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 503 (M²⁺).

(Example 1.36): (Z)-2-Chloro-bis{3-(1R*,2S*)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 533 (M²⁺, 100).

(Example 1.37): (Z)-2-Chloro-bis {3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio})propryl}-2-butenedioate dichloride

MS m/z 503 (M²⁺).

(Example 1.38): (Z)-2-Chloro-bis {3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 533 (M²⁺, 100).

(Example 1.39): (Z)-2-Chloro-1-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3- -{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 533 (M²⁺, 100).

(Example 1.40): (Z)-2-Chloro-bis{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 534 (M²⁺, 100).

(Example 1.41): (Z)-2-Chloro-bis {3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 533 (M²⁺).

(Example 1.42): (Z)-2-Chloro-1-{3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1S,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro4-{3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1S,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 533 (M²⁺).

(Example 1.43): (Z)-2-Chloro-bis{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 503 (M²⁺).

(Example 1.44): (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyplenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R, 2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1)

MS m/z 473 (M²⁺, 100).

(Example 1.45): (Z)-2-Chloro-bis{(3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 473 (M²⁺, 100).

(Example 1.46): (Z)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 473 (M²⁺, 10).

(Example 1.47): (Z)-2-Chloro-bis{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}-2-butenedioate dichloride

MS m/z 459 (M²⁺).

(Example 1.48): (Z)-2-Chloro-1-{3-[(1R,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}-4-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1)

Anal. Calcd for C₅₀H₆₃N₂O₁₂Cl₃.5.5H₂O: C, 55.12; H, 6.85; N, 2.57; Cl, 9.76. Found: C, 55.14; H, 6.49; N, 2.60; Cl, 9.68.

(Example 1.49): (Z)-2-Chloro-bis{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinoliniol]propyl}-2-butenedioate dichloride

MS m/z 459 (M²⁺).

(Example 1.50): (2RS)-2-Chloro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

Anal. Calcd for C₅₄H₇₃N₂O₁₄Cl₃.5.5H₂O: C, 54.98; H, 7.18; N, 2.37. Found: C, 54.66; H, 6.76; N, 2.37.

(Example 1.51): (2RS)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 474 (M²⁺, 5).

(Example 1.52): (2RS)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride and (2RS)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride (1:1)

MS m/z 474 (M²⁺, 3).

(Example 1.53): (Z)-1-{3-{(1R,2R)-6,7-Dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride and (Z)-4-{3-{(1R,2R)-6,7-Dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride (1:1)

MS m/z 495 (M²⁺, 100).

(Example 1.54): (Z)-Bis {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride

MS m/z 495 (M²⁺, 85).

(Example 1.55): 2,2-Difluoro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 505 (M²⁺).

(Example 1.56): 2,2-Difluoro-bis{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 535 (M²⁺).

(Example 1.57): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 518 (M²⁺, 100).

(Example 1.58): (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dicliloride and (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 488 (M²⁺, 100).

(Example 1.59): (Z)-2-Chloro-bis{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 487 (100).

(Example 1.60): (Z)-2-Chloro-1-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1)

MS m/z 480 (M²⁺, 100).

SYNTHETIC EXAMPLE 2 ( METHOD A) (a) (2R*,3R*)-2,3-Dichlorosuccinic anhydride

A solution of maleic anhydride (10.6 g, 108 mmol) and benzoyl peroxide (5 mg, 0.02 mmol) in CHCl₃ (250 mL) was saturated with chlorine gas and the resulting bright yellow solution was stirred for 5 h at rt. Residual chlorine was removed with a stream of nitrogen and the reaction mixture was partially concentrated. Four crops of the white, solid title product were obtained by filtration (11.9 g, 65% yield): mp 90-92° C.

(b) (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}hydrogen 2-butenedioate monochloride

A solution of the (1R,2S)-title product from Synthetic Example 1, step b (3.5 g, 6.10 mmol) and the product from step a (1.7 g, 10.1 mmol) in DCE (38 mL) and acetonitrile (MeCN) (2 mL) was stirred at rt overnight. The mixture was concentrated and the remaining solid was triturated with EtOAc and dissolved in MeCN (25 mL). A solution of 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU) (1.68 g, 11.0 mmol) in MeCN (6 mL) was added dropwise at 0° C. and the reaction mixture was stirred at ice bath temperature for 1 h. The solvent was evaporated and the remaining solid was dissolved in CHCl₃ (150 mL). This solution was washed with 2:1 brine/water containing methanesulfonic acid (4 mg/mL) and with brine. The organic layer was dried and concentrated to provide the title product as a foam (2.6 g. 69% yield):

MS m/578 (M⁺, 100).

(c) (Example 2.01) (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

A solution of oxalyl chloride (36 mmol) in CH₂Cl₂ (18 mL) was added dropwise to a stirring solution of the product from step b (2.22 g, 3.61 mmol) in DCE (25 mL). The reaction mixture was stirred for 1 h at rt and then heated at reflux for 5 min. Excess oxalyl chloride was removed in vacuo and the resulting foam was dissolved in DCE (15 mL). A solution of the product mixture from Synthetic Example 1, step a (2.00 g, 3.58 mmol) in DCE (5 mL) was added and the solution was stirred overnight at rt. The solvent was evaporated and the mixture was purifed by MPLC as described in Synthetic Example 1, step c. Lyophilization provided the title product as a white solid (731 mg, 19% yield): PMS m/z 496 (M²⁺, 100).

The following compounds were prepared by a procedure similar to Synthetic Example 2:

(Example 2.02): (Z)-2-Chloro-4-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimetboxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 496 (M²⁺, 100).

(Example 2.03): (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 496 (M²⁺, 100).

(Example 2.04): (Z)-2-Chloro-1-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 496 (M²⁺, 100).

(Example 2.05): (Z)-2-Chloro-1-(3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S)-6,7-dimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinyl]propyl}-2-butenedioate monochloride hydrochloride

MS m/z 489 (M²⁺, 100).

(Example 2.06): (E)-{3-[(1R,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinoliniol propyl}{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butenedioate dichloride

MS m/z 479 (M²⁺, 24).

(Example 2.07): (2RS)-2-Chloro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} butanedioate dichloride

MS m/z 497 (M²⁺, 13).

(Example 2.08): (Z)-2-Chloro4-{3-[(1S,2S)-6,7-dimethoxy-1-(4-methoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioatc dichloride

MS mn/z 466 (M²⁺, 62).

(Example 2.09): (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-1-(4-methoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS ni/z 466 (M²⁺, 62).

(Example 2.10): (Z)-2-Chloro-4-{3-[(1S,2S)-6,7-dimethoxy-2-ethyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 503 (M²⁺, 100).

(Example 2.11): (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-ethyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 503 (M²⁺, 100).

(Example 2.12): (Z)-2-Chloro4-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 481 (M²⁺, 88).

(Example 2.13): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-3-[(1S,2R)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7-methylenedioxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 473 (M²⁺, 100).

(Example 2.14): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2S)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7-methylenedioxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 473 (M²⁺, 100).

(Example 2.15): (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride

MS m/z 488 (M²⁺, 100).

(Example 2.16): (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 511 (M²⁺, 100).

(Example 2.17): (Z)-2-Chloro-4-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 511 (M²⁺, 100).

SYNTHETIC EXAMPLE 3 (METHOD B) (a) 1,3-Dioxa-2-thiane 2,2-dioxide

To a solution of 1,3-propanediol (50.0 g, 0.65 mol) in carbon tetrachloride (CCl₄) (650 mL) was added thionyl chloride (57.5 mL, 93.7 g, 0.79 mol) and the mixture was heated to reflux for 1.5 h. The solution was cooled to O_C and diluted with MeCN (650 mL) followed by sequential addition of ruthenium (III) chloride hydrate (81 mg, 0.39 mmol), sodium periodate (210.0 g, 0.98 mol), and H₂O (980 mL). The resulting orange mixture was stirred at rt for 1.5 h and then diluted with diethyl ether (Et₂O) (6 L). The separated organic phase was washed with water, saturated NaHCO₃ and brine. The Et₂O layer was dried and filtered through a bed of silica gel. The filtrate was concentrated and the resulting oil was treated with Et₂O (50 mL) and hexanes (100 mL) and stored at 5° C. for 18 h. Filtration of the resulting precipitate afforded the title compound as an off-white solid (79.0 g, 87% yield): mp 54-56_C.

(b) 3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl-1-sulfate

A mixture of (1S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinoline (36.8 g, 98.6 mmol) and the product from step a (23.7 g, 171.7 mmol) in MeCN (350 mL) was heated at 65_C. for 5 h. The mixture was cooled to rt and the resulting precipitate was collected by filtration and triturated with MeCN to afford the title compound as an off-white powder (30.0 g, 60% yield): mp 207-209_C.;

MS m/z 534 (M+23, 60), 512 (M+1, 30), 432 (M-SO₃, 100).

(c) (1S,2R)-6,7-Dimethoxy-2-(3-hydroxypropyl)-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydroisoquinolinium chloride

Acetyl chloride (35.0 mL, 38.8 g, 0.49 mol) was added dropwise to ice-cold MeOH (350 mL) and the resulting solution was stirred for 10 minutes (min). The product from step b (28.1 g, 0.05 mol) was added and the reaction mixture was stirred at rt for 6 h. The solution was neutralized by careful addition of excess NaHCO₃ and the solid was filtered through a pad of celite. The filtrate was evaporated and the residue was dissolved in CHCl₃. The resulting solid was filtered through a pad of celite and washed with CHCl₃. The filtrate was evaporated, the remaining residue was dissolved in H₂O, and the aqueous solution was saturated with sodium chloride. The aqueous phase was extracted with CHCl₃ and the organic layers were dried and concentrated to give the title compound as a hygroscopic white solid (25.0 g, 98% yield):

MS m/z 432 (M⁺, 100).

(d) 3-{(1R,2S)-6,7-Dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl) methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl-1-sulfate

(1R)-(−)-5′-Methoxylaudanosine (52.6 g, 0.13 mmol) was subjected to procedure b. The resulting material was triturated with acetone to yield the title product as an off-white powder (49.3 g, 69% yield): mp 191-193_C.; PMS m/z 526 (M+1, 100).

(e) (1R,2S)-6,7-Dimethoxy-2-(3-hydroxypropyl)-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydroisoquinolinium chloride

The product from step d (54.5 g, 0.10 mmol) was subjected to procedure c to afford the title compound as a hygroscopic white foam (50.7 g, 100% yield): PMS m/z 446 (M⁺, 100).

(f) (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimetboxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} hydrogen 2-butenedioate monochloride

A solution of the product from step e (15 g, 31.1 mmol) and the product from Synthetic Example 2, step a (6.4 g, 37 mmol) in CH₂Cl₂ (50 mL) was stirred overnight at rt. The reaction mixture was diluted with CH₂Cl₂ (150 mL), cooled to −20° C. and triethylamine (18.2 mL, 130.4 mmol) was added dropwise. The reaction was warmed to 0° C., CHCl₃ (200 mL) was added and the mixture was washed with 2:1 brine/water containing methanesulfonic acid (4 mg/mL). The CHCl₃ layer was separated and the combined aqueous layers were saturated with sodium chloride, acidified with concentrated hydrochloric acid (HCl) (9 mL) and back-extracted with CHCl₃. The combined CHCl₃ layers were dried and concentrated and the resulting foam was triturated with Et₂O. The title product was collected by filtration as a tan solid (16.3 g, 86% yield): spectral data identical to that of the title product from Synthetic Example 2, step b.

(g) (Example 3.01) (Z)-2-Chloro4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methl]1-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

The product from step f (7.0 g, 11.4 mmol) was treated with oxalyl chloride and then reacted with the product from step c (6.62 g, 11.9 mmol) as described in Synthetic Example 2, step c. The reaction mixture was concentrated and the resulting material was purified by MPLC as described in Synthetic Example 1, step c. Lyophilization provided the title product as a white solid (8.7 g, 72% yield): spectral data identical to that of the title product from Synthetic Example 2, step c.

The following compound was prepared by a procedure similar to Synthetic Example 3:

(Example 3.02): (Z)-2-Chloro-4-{3-[1S,2R)-1-(3,4-difluorophenyl)-6,7-dimethoxy-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1 (3-(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

MS m/z 469 (M²⁺, 100).

SYNTHETIC EXAMPLE 4 (METHOD C) (a) (E)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio} propyl}hydrogen 2-butenedioate monochloride

To a solution of the product from Synthetic Example 3, step e (2.5 g, 5.2 mmol) and imidazole (0.35 g, 5.2 mmol) in CH₁₂Cl₂ (35 mL) at −15_C. was added a solution of chloromaleic anhydride (0.69 g, 5.2 mmol) in CH₂Cl₂ (10 mL). After 10 min, the mixture was diluted with CHCl₃ and washed with 2:1 brine/H₂O containing methanesulfonic acid (4 mg/mL). The organic layers were washed with brine, dried and evaporated to give the title compound as a yellow hygroscopic solid: PMS m/z 578 (M⁺, 100).

(b) (Example 4.01) (Z)-2-Chloro4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride

A solution of the product from step a (198 mg, 0.32 mmol), oxalyl chloride (281 mL, 3.2 mmol), and dimethyl formamide (DMF) (1 drop) in CH₂Cl₂ (4 mL) was heated at reflux for 2 h. The mixture was coevaporated with CH₂Cl₂ and dried in vacuo. The residue was dissolved in DCE (5 mL), the product mixture from Synthetic Example 1, step a (300 mg, 0.64 mmol) was added and the mixture was stirred at rt for 18 h. The solvent was evaporated and the crude material was purified as described in Synthetic Example 1, step c. Lyophilization provided the title product as a white solid (80 mg, 23% yield): spectral data identical to that of the title product from Synthetic Example 2, step c.

The following compound was prepared by a procedure similar to Synthetic Example 4:

(Example 4.02): (Z)-2-Bromo-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioatc dibromide

MS m/z 518 (M²⁺, 100).

SYNTHETIC EXAMPLE 5 (METHOD A) (a) 2,2-Difluorosuccinic anhydride

A mixture of 2,2-difluorosuccinic acid (1.15 g, 7.46 mmol), thionyl chloride (4 mL, 20.6 mmol) and benzene (4 mL) was heated at reflux for 2.5 h. The mixture was filtered and the filtrate was concentrated to afford the title product as an oil that crystallized on standing (838 mg, 6.16 mmol, 83% yield).

(b) 2,2-Difluoro-1-{3-{(1R,2SR)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)inethyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} hydrogen butanedioate monochloride

A solution of the 2.3:1 product mixture from Synthetic Example 1, step b (2.7 g, 5.60 mmol) and the product from step a (838 mg, 6.16 mmol) in DCE (80 mL) was stirred overnight at rt. The solvent was evaporated to yield a 2.3:1 mixture of the (1R, 2S)- and (1R, 2R)-title products, respectively as a yellow hygroscopic solid (3.5 g. 5.60 mmol, 100% yield):

MS m/z 582 (M⁺, 70).

(c) (Example 5.01) 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl)1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-butanedioate dichloride

The product mixture from step b (2.0 g, 3.24 mmol) was treated with oxalyl chloride and then reacted with the product mixture from Synthetic Example 1, step a (1.73 g, 3.10 mmol) as described in Synthetic Example 2, step c. The reaction mixture was concentrated and the resulting material was purified by MPLC as described in Synthetic Example 1, step c. Lyophilization provided the title product as a white solid (466 mg, 27% yield):

MS m/z 498 (M²⁺, 100).

The following compounds were prepared by procedures similar to Synthetic Example 5:

(Example 5.02): 2,2-Difluoro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 498 (M²⁺, 100).

(Example 5.03): 2,2-Difluoro-1-{3-[(1R,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 498 (M²⁺, 100).

SYNTHETIC EXAMPLE 6 (METHOD B) (a) 2,2-Difluoro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} hydrogen butanedioate monochloride

The product from Synthetic Example 3, step e (3.0 g, 6.22 mmol) was treated in a fashion similar to that described in Synthetic Example 5, step b. The title product was obtained as a yellow hygroscopic solid (3.21 g, 83% yield): spectral data were consistent with the proposed structure.

(b) (Example 6.01) 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

The product from step a (3.0 g, 4.85 mmol) was treated with oxalyl chloride and then reacted with the product mixture from Synthetic Example 1, step a (2.44 g, 4.37 mmol) as described in Synthetic Example 2, step c. The reaction mixture was concentrated and the resulting material was purified by MPLC as described in Synthetic Example 1 step c. Lyophilization provided the title product as a white solid (1.3 g, 37% yield): the spectral data were identical to that of the title product from Synthetic Example 5, step c.

The following compounds were prepared by procedures similar to Synthetic Example 6:

(Example 6.02): 2,2-Difluoro-4-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 498 (M²⁺, 100).

(Example 6.03): 2,2-Difluoro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}4-{3-[(1S,2R)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}butancdioate dichloride

MS m/z 498 (M²⁺, 100).

(Example 6.04): 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyi)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 483 (M²⁺, 100).

(Example 6.05): 2,2-Difluoro-4-{3-[(1S,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methy]-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioatc dichloride

MS m/z 483 (M²⁺, 100).

(Example 6.06): (2RS)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluorobutanedioate dichloride

MS m/z 489 (M²⁺, 55).

(Example 6.07): (2RS)-4-{3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluorobutanedioate dichloride

MS m/z 489 (M²⁺, 30).

(Example 6.08): 2,2-Difluoro-5-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}pentanedioate dichloride

MS m/z 505 (M²⁺, 100).

SYNTHETIC EXAMPLE 7 (METHOD C) (a) (Example 7.01): 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

Neat oxalyl chloride (25 mL. 0.28 mol) was added dropwise to a solution of the product from Synthetic Example 6, step a (7.0 g, 11.0 mmol) in DCE (150 mL). The solution was stirred at rt for 3.5 h. The solvent and excess oxalyl chloride were removed at reduced pressure and the remaining foam was reconstituted in DCE (35 mL). A solution of the product from Synthetic Example 3, step c (4.7 g, 10.0 mnmol) in DCE (35 mL) was added and the reaction mixture was stirred overnight at rt. The solvent was evaporated and the product was purified by MPLC as described in Synthetic Example 1, step c. Lyophilization provided the title product as a white solid (5.63 g, 53% yield) with spectral data identical to that of the title product from Synthetic Example 5, step c.

The following compounds were prepared by procedures similar to Synthetic Example 7:

(Example 7.02): 2,2-Difluoro-4-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoq uinolinio}propyl}butanedioate dichloride

MS m/z 483 (M²⁺, 100).

(Example 7.03): 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyI)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride

MS m/z 513 (M²⁺, 100).

SYNTHETIC EXAMPLE 8 (Example 8.01): (Z)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride

Solid K₂CO₃ (97 mg, 0.702 mmol) was added to a solution of the title product from Synthetic Example 7 (750 mg, 0.702 mmol) in DMF (5 mL) and the mixture was stirred at rt for 1 h and then filtered. The filtrate was diluted with CHCl₃ (50 mL) and washed with 1:1 brine/H₂O (pH˜1). The organic layer was dried and concentrated and the residue was triturated with Et₂O and purified as described in Synthetic Example 1, step c. The title product was obtained as a white powder (404 mg, 0.385 mmol, 52% yield): PMS m/z 488 (M²⁺, 80).

The following compound was prepared by a procedure similar to Synthetic Example 8:

(Example 8.02): (Z)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioatc dichloride

Anal. Calcd for C₅₄H₇₁ N₂O₁₅Cl₂F.5H₂O: C, 55.52; H, 6.99; N, 2.40: Cl, 6.07. Found: C, 55.52; H. 6.96; N. 2.40; Cl, 6.15.

Biological Activity

Cats were anesthetized with alpha-chloralose (80 mg/kg) and pentobarbital (10 mg/kg) i.p. See J. J. Savarese Anesthesia and Analgesia, Vol. 52, No. 6, November-December, (1973). Square-wave stimuli were applied at supramaximal voltage to the peroneal nerve at 0.15 Hz and the evoked twitches of the tibialis anterior muscle were recorded. Rhesus monkeys were anesthetized with ketamine (5 mg/Kg) and pentobarbitol (5 mg/Kg) given intramuscularly or intravenously. Anaesthesia was maintained with a mixture of halothane (0.25-0.75%). nitrous oxide (60%) and oxygen (40%). The common peroneal nerve was stimulated supramaximally with square wave pulses of 0.2 m sec duration at a rate of 0.15 Hz. Twitch contractions were recorded via the tendon of the extensor digitorum muscle.

In all animals, the trachea was intubated and ventilation was controlled at 12-15 ml/kg, 18-24 breaths per minute. Animals not receiving inhalation anesthetics were ventilated with room air. The left femoral vein and arterv were annulated for drug administration and for recording of arterial pressure, respectively. Compounds of Formula (I) listed in Tables 1 and 2 were administered intravenously. The ED₉₅, i.e., the dose required to produce 95% block of the twitch response of compounds of Formula (b) are provided in Tables 1 and 2. Absence of data for particular parameters of particular example numbers indicates that data were not available.

TABLE 1 Neuromuscular Blocking Activity in the Cat. ED95 Onset Duration Histamine Release Example No. (mg/kg) (min) (min) (mg/kg) Example 1.15 0.108 2.3 7.00 1.6 Example 1.33 0.325 1.6 6.60 3.2 Example 1.34 4.0  0.8 8.00 12.8 Example 1.35 1.78  2.6 9.20 3.2 Example 1.37 2.79  1.6 5.90 3.6 Example 1.38 2.605 1.6 20.00 6.4 Example 1.39 0.316 3.2 50.00 0.8 Example 1.40 0.136 4.0 20.00 0.8 Example 1.41 1.061 1.0 7.90 1.6 Example 1.42 0.391 1.1 2.80 0.8 Example 1.43 3.2  0.8 4.80 12.8 Example 1.44 0.197 1.6 4.50 1.6 Example 1.45 0.104 2.3 7.70 3.2 Example 1.46 1.6  3.8 8.50 12.8 Example 1.47 0.47  1.4 3.40 12.8 Example 1.48 0.187 1.8 5.50 3.2 Example 1.50 0.033 4.0 14.50 3.2 Example 1.51 0.26  3.2 13.80 12.8 Example 1.52 0.026 5.9 22.30 3.2 Example 1.53 0.933 1.0 3.20 6.4 Example 1.54 0.089 2.2 7.10 1.6 Example 1.55 0.079 3.2 6.30 3.2 Example 1.56 0.065 4.4 15.00 1.6

TABLE 2 Neuromuscular Blocking Activity in Rhesus Monkey Example ED95 Onset Duration Hist Rel No. (mg/kg) (min) (min) (mg/kg) Comment Example 1.01  0.1-0.15  1.2-1.5 3.5-7.0 3.2-6.4 Example 1.02 1.6 1 5.0 6.4 Example 1.03 0.8 2 20.0 4 Example 1.04 0.4 3.5 30.0 Example 1.05 0.6 3.5 35.0 Example 1.06 0.65 3.5 30.0 Example 1.07 0.3 3.5 30.0 >0.4 Example 1.08 5 1 7.0 >12.8 Example 1.09 2 0.75 3.0 2 Example 1.10 not active 1.6 Example 1.11 0.8 6.0 0.8 Example 1.12 0.3 0.8 3.1 Example 1.13 0.1 1.2 10.7 3.2 Example 1.14 0.5 23.0 >0.8 Example 1.15 0.09 1 5.5 1.6 Example 1.16 0.4 1.25 6.0 1.6 Example 1.17 0.4 1.25 5.0 1.6 Example 1.18 0.05-0.1  1.25-2.5   9-11.5 1.6 Example 1.19 0.2 1.5 6.5 3.2 Example 1.20 0.2 2 15.5 1.6 Example 1.21 0.1 1.75-2.5   8-13.5 Example 1.22 0.1 2 11.5 Example 1.23 0.275 1.5 9.8 Example 1.24 0.12 8.8 Example 1.25 0.14 10.0 Example 1.26 0.25 9.5 Example 1.27 0.25 1 3.5 Example 1.28 0.6 4.5 Example 1.29 >1.0 5.0 Example 1.30 0.17 7.5 Example 1.31 0.07 10.5 1.2 Example 1.32 0.06 9.5 1.2-1.6 Example 1.57 0.2 2 3.7 >0.4 Example 1.58 1.2-1.5 3.5 Example 1.59 0.61 3.5 0.8 Example 1.60 1.4 Example 2.01 0.05-0.08 1 5.5 3.2-6.4 Same as 3.01, 4.01 Example 2.02 0.3 3.5 Example 2.03 0.3 1 3.0 Example 2.04 0.5 4.0 Example 2.05 0.6 6.0 Example 2.06 0.09 18.5 Example 2.07 0.15 30.0 Example 2.08 0.08 5.5 Example 2.09 0.1 6.8 1.6-3.2 Example 2.10 0.6 6.3 Example 2.11 0.25 3.8 Example 2.12 0.05 6.0 3.2 Example 2.13 0.12 7.8 3.2-6.4 Example 2.14 0.14 5.5 Example 2.15 0.16 3.3 Example 3.02 0.05 7 Example 4.02 0.3 3.5 Example 5.01 0.05-0.07 1 6.0 3.2-6.4 Same as 6.01, 7.01 Example 5.02 0.8 1.5 5.5 Example 5.03 0.8 0.5 4.3 Example 6.02 0.25 7.0 Example 6.03 0.064 6.3 3.2-6.4 Example 6.04 0.07 6-7 3.2-6.4 Example 6.05 0.1 6.3 Example 6.06 0.04 32.0 Example 6.07 0.3 27.0 Example 6.08 0.2 8 Example 7.02 0.062 4.3 Example 7.03 0.035 9.5 3.2 Example 8.01 0.12 1 4.0 6.4 Example 8.02 0.06 8.0-9.0 3.2 

What is claimed is:
 1. A compound of Formula (I)

wherein q and t are independently from 0 to 4; X¹ and X² are independently halogen; h^(a) and h^(b) are independently from 0 to 2; Z₁ and Z₂ are independently hydrogen, C₁₋₆ alkyl C₂₋₆ alkenyl or C₂₋₆ alkynyl with the proviso that Z¹ and Z² are not both hydrogen; Y¹, Y², Y³ and Y⁴ are independently hydrogen, halogen or C₁₋₃ alkoxy; m and p are independently 1 to 6; n and r are independently 0 to 4; with the proviso that if h^(a) and h^(b) are both 0, then r is 0 and n is 0 to 2; R¹ to R¹⁴ are independently hydrogen, halogen, C₁₋₃ alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, R⁹ and R¹⁰ together with the carbon atoms to which they are bonded, R¹² and R¹³ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; W¹ and W² are carbon; the bond between the carbons attached to (CH₂)_(q) and (CH₂)_(t) may be a single or double bond: and A is a pharmaceutically acceptable anion.
 2. A compound according to claim 1 wherein X¹ is Cl or F; h^(a) is from 1 to 2; h^(b) is 0; n is 1 and r is 0; R¹, R⁴, R⁷, R⁸, R¹¹ and R¹⁴ are hydrogen; R², R³, R⁵, R⁶, R⁹, R¹⁰, R¹² and R¹³are C₁₋₃ alkoxy; and Y³ is hydrogen.
 3. The compound of claim 1 wherein said compound is: (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride, 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-butanedioate dichloride, (Z)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride, or 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride.
 4. A pharmaceutical composition comprising a compound according to claim 1 in association with a pharmaceutically acceptable carrier.
 5. A method of inducing neuromuscular paralysis in a mammal comprising administering to said mammal an effective neuromuscular paralyzing amount of a compound according to claim
 1. 6. A compound of Formula (III)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; n is 0, 2, 3 or 4 ; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion.
 7. A compound of Formula (IX)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; n is 0 to 4 ; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion.
 8. A compound of Formula (II)

wherein q and t are independently from 0 to 4; X¹ and X² are in dependently halogen; h^(a) and h^(b)are independently from 0 to 2; Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; n is 0 to 4; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; the bond between the carbons attached to (CH₂)_(g) and (CH₂)_(t) may be a single or double bond; A is a pharmaceutically acceptable anion; and T is hydroxyl or halide.
 9. A process for the preparation of a compound of Formula (IX) as defined in claim 7 which process comprises reacting a compound of Formula (V)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; n is 0 to 4; and R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; with a compound of Formula (IV)

wherein m is 1 to
 6. 10. A process for the preparation of a compound of Formula (II) as defined in claim 8 which comprises reacting a compound of Formula (Ill)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; n is 0 to 4; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R¹ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion with a compound of Formula (VI)

wherein q and t are independently from 0 to 4; X¹ and X² are independently halogen; and h^(a) and h^(b) are independently from 0 to
 2. 11. A process for the preparation of a compound of Formula (Ib):

wherein t is 0; X¹ is Br, Cl or F; h^(a) is from 0 to 1; q is from 0 to 4; Z¹ and Z² are independently hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl with the proviso that Z¹ and Z² are not both hydrogen; Y¹, Y², Y³ and Y⁴ are independently hydrogen, halogen or C₁₋₃alkoxy: m and p are independently 1 to 6; n and r are independently 0 to 4; R¹ to R¹⁴ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, R⁹ and R¹⁰ together with the carbon atoms to which they are bonded, R¹² and R¹³ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion which comprises reacting a compound of Formula (Ia)

wherein t is 0; X¹ is Br, Cl or F; h^(a) is from 1 to 2; and Z¹, Z², Y¹, Y², Y³, Y⁴, m, p, n, r, q, A and R¹ to R¹⁴ are as defined above; with a base.
 12. A process for the preparation of a compound of Formula (IIb)

wherein q is 0; X¹ is Br, Cl or F; h^(a) is 1; n is 0 or 1; T is hydroxyl or halide; t is from 0 to 4; Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion which comprises reacting a compound of Formula (IIa)

wherein q is 0; X¹ and X² are Br, Cl or F; h^(a) and h^(b)are 1; n is 0 or 1; T is hydroxyl or halide; and Z¹, Y¹, Y², m, t, R¹ to R⁷ and A are as defined above in the presence of excess tertiary amine in a polar aprotic or chlorinated organic solvent.
 13. A process for preparing a compound according to claim 1 which process comprises reacting two equivalents of a compound of Formula (III), or one equivalent of each of two different compounds of Formula (III)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynl, Y¹ and Y² are independently hydrogen, halogen or C₁₋₃ alkoxy; m is 1 to 6; n is 0 to 4; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion with one equivalent of a compound of Formula (VII)

wherein q, t, X¹, X², h^(a) and h^(b)are as defined in claim 1 and T is hydroxyl or halide, and optionally separating the products by chromatography.
 14. A process for preparing a compound according to claim 1 which process comprises reacting a compound of Formula (III)

wherein Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃ alkoxy; m is 1 to 6; n is 0 to 4; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃ alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R¹ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; and A is a pharmaceutically acceptable anion; with a compound of Formula (II)

wherein q and t are independently from 0 to 4; X¹ and X² are independently halogen; h^(a) and h^(b)are independently from 0 to 2; Z¹ is hydrogen, C₁₋₆alkyl, C₂₋₆alkenyl or C₂₋₆alkynyl; Y¹ and Y² are independently hydrogen, halogen or C₁₋₃alkoxy; m is 1 to 6; n is 0 to 4; R¹ to R⁷ are independently hydrogen, halogen, C₁₋₃alkoxy, or R² and R³ together with the carbon atoms to which they are bonded, R⁵ and R⁶ together with the carbon atoms to which they are bonded, may independently form a methylenedioxy or ethylenedioxy moiety contained in a five or six-membered ring; the bond between the carbons attached to (CH₂)_(g) and (CH₂)_(t) may be a single or double bond; A is a pharmaceutically acceptable anion; and T is hydroxyl or halide.
 15. A composition which is: (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (E)-Bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}butenedioate dichloride; Bis{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; {3-[(1R,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; Bis{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; (Z)-2-Chloro-bis{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-[(1R,2S)-2-methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-[(1S,2R)-2-methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-[(1S,2R)-1-(2,3-dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); {3-[(1R,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl 1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}octanedioate dichloride; 2,3-Dichloro-bis{3-{(1R,2RS)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate; (Z)-2-Chloro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; {3-{(1R,2S)-6,7-Dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} {3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; {3-{(1R,2S)-6,7-Dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} {3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}octanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} octanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}nonanedioate dichloride; {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2,S,-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}nonanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}hexanedioate dichloride; {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} hexanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3 4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} heptanedioate dichloride; {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2 -methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} heptanedioate dichloride; {3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2,S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} decanedioate dichloride; {3-[(1S,2S)-6,7-Dimethoxy-2-methyl-]-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl} decanedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-}3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2S)-6,7-dimethoxy-2-(2-propenyl)-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1S,2S)-6,7-dimethoxy-2-(2-propenyl)-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3)-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,25)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3- f{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-{(1R*,2S*)-2-methyl-6,7,8-trimethoxy-1-(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio {propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-{(1S,2R)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1S,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1S,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}1-{3-{(1S,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichlioride (1:1); (Z)-2-Chloro-bis{3-{(1S,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-[(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-bis{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-[(1R,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1R,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dirnethoxypheiiyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (2RS)-2-Chloro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (2RS)-2-Chloro-bis{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (2RS)-2-Chloro-1-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-13-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride and (2RS)-2-Chloro-4-{3-{(1R,2R)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-1-[(3,4-dimethoxyphenyl)methyl]-2-methyl-1,2,3,4-tetrahydro-2-isoquinoliniol}propyl}butanedioate dichloride (1:1); (Z)-1-{3-{(1R,2R)-6,7-Dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride and (Z)-4-{3-{(1R,2R)-6,7-Dimethoxy-2-methyl-1-[(3,4,5-trimetloxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride (1:1); (Z)-Bis{3- {(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride; 2,2-Difluoro-bis{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-bis{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-1-{3-{(1R,2R)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-1-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-4-{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinoliniolpropyl}-1-{3-(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-bis{3-{1(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride and (Z)-2-Chloro-4-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2s)-2-methyl-6,7-methylenedioxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride (1:1); (Z)-2-Chloro-4-{3-[(1S, 2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-1-{3-{(1R, 2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichlioride; (Z)-2-Chloro-4-{3-[(1S, 2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R, 2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-[(1S, 2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R, 2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S)-6,7-dimethoxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinyl]propyl}-2-butenedioate monochloride hydrochloride; (E)-{3-[(1R,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl} {3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butenedioate dichloride; (2RS)-2-Chloro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2S)-6,7-dimethoxy-1-(4-methoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-1-(4-methoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2S)-6,7-dimethoxy-2-ethyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-1-{3-{(1R,2,)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-ethyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichlioride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)metlhyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7-methylenedioxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2S)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7-methylenedioxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-2-methyl-6,7-methylenedioxy-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-1-(3,4-difluorophenyl)-6,7-dimethoxy-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Chloro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dichloride; (Z)-2-Bromo-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-butenedioate dibromide; 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-butanedioate dichloride; 2,2-Difluoro-1-{3-[(1R,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2,S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-1-{3-[(1R,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-4-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2S)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio[propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-4-{3-[(1S,2R)-1-(3,4-dimethoxyphenyl)-2-methyl-6,7,8-trimethoxy-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (2RS)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluorobutanedioate dichloride; (2RS)-4-{3-[(1S,2S)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluorobutanedioate dichiloride; 2,2-Difluoro-5-{3-[(1S,2R)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}pentanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquiiiolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1R,2S)-6,7-dimethoxy-1-(3,4-dimethoxyphenyl)-2-methyl-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; 2,2-Difluoro-4-{3-[(1S,2R)-6,7-dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxypheniyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}butanedioate dichloride; (Z)-4-{3- (1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-6,7-dimethoxy-2-methyl-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride; or (Z)-4-{3-[(1S,2R)-6,7-Dimethoxy-2-methyl-1-(3,4,5-trimethoxyphenyl)-1,2,3,4-tetrahydro-2-isoquinolinio]propyl}-1-{3-{(1R,2S)-2-methyl-6,7,8-trimethoxy-1-[(3,4,5-trimethoxyphenyl)methyl]-1,2,3,4-tetrahydro-2-isoquinolinio}propyl}-2-fluoro-2-butenedioate dichloride.
 16. A compound according to claim 6 wherein n is
 0. 